Dissemond Joachim, Bültemann Anke, Gerber Veronika, Motzkus Martin, Rembe Julian-Dario, Erfurt-Berge Cornelia
Klinik und Poliklinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Essen.
Klinik für Gefäßchirurgie und Angiologie, Asklepios-Klinikum Harburg, Hamburg.
Dtsch Med Wochenschr. 2024 Sep;149(18):1105-1111. doi: 10.1055/a-2359-6728. Epub 2024 Aug 29.
Many patients with chronic wounds have skin changes that can provide important clues as to the etiology of the wound and/or inappropriate treatment. As the largest human organ, the skin is easily accessible for clinical inspection. However, healthcare professional teams currently do not always assess and document these skin changes correctly and consistently. The board of the professional society Initiative Chronische Wunden (ICW) e. V. has therefore decided to draw up a position paper to clarify the most important technical terms for skin changes around wounds. One focus here is on the definition and differentiated description of the wound edge and wound surrounding skin. Atrophies, blisters, eczema, erythema, hemorrhages, hyperpigmentation, hypopigmentation, hyperkeratosis, maceration, necrosis, oedema, pustules, sclerosis and scales are then described in more detail and placed in a clinical context.
许多慢性伤口患者存在皮肤变化,这些变化可为伤口的病因和/或不恰当治疗提供重要线索。作为人体最大的器官,皮肤便于临床检查。然而,目前医疗专业团队并非总能正确且一致地评估和记录这些皮肤变化。因此,专业协会“慢性伤口倡议组织(ICW)”董事会决定起草一份立场文件,以阐明伤口周围皮肤变化的最重要专业术语。这里的一个重点是伤口边缘和伤口周围皮肤的定义及差异化描述。随后将对萎缩、水疱、湿疹、红斑、出血、色素沉着、色素减退、角化过度、浸渍、坏死、水肿、脓疱、硬化和鳞屑进行更详细的描述,并置于临床背景中。